If your order meets one or more of the following criteria, please, complete this form after you have placed your order. Orders with the following criteria trend a higher risk of credit card fraud and are subject to our 'Hold Order Policy' and require additional information for fraud screening. We in no way insinuate any fraudulent activity asociated with your order. This is a precautionary technique that we use to assist us in the screening process. We will review the submitted information and will begin processing your order as soon as the order is cleared for processing.

• Orders originating outside of the USA and Canada. This includes international orders with a USA 'ship to' address.



• Orders where the 'ship to' information differs from the 'bill to' information.



• Orders in excess of $1000.00



• Orders that provide duplicate information of any previously denied transaction.

All fields of this form are required except the "Optional Comments" field, although completing this field may reduce the hold order time. Any delay in providing additional information for verification may result in further delay of your order.

Thank you for your understanding and cooperation.

Please, do not submit your physical address or credit card numbers when using this form.

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* Required fields
Name *
E-mail Address *
Order Number *
Full name of the credit card issuing bank (printed on the back of the credit card) *
Toll-free telephone number of the credit card issuing bank (printed on the back of the credit card) *
Optional Comments

I have read and agree to the Privacy Policy *

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The additional information we obtain is used to help us screen orders that trend a high risk of credit card fraud and will only be used in accordance with our Privacy Policy.